Product Details

Fluconazole-150

Fluconazole
150 mg
Capsule


DIN/PIN/NPN

02521229

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2022-07-29  

Unit Price

3.9424

Amount MOH Pays

3.9424

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

Anti-Infectives, Fungicides (84:04:08): Due to its efficacy and significantly lower cost, clotrimazole should be the first line of treatment for Tinea corporis and cruris. In Tinea pedis, topical terbinafine should be considered the first line of treatment due to its efficacy and lower rate of relapse.

ATC Code

J02AC01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02433702 Priva-Fluconazole 3.9424 3.9424
02428792 Mar-Fluconazole-150 3.9424 3.9424
02432471 Jamp-Fluconazole 3.9424 3.9424
02141442 Diflucan-150 15.7697 3.9424
02241895 Apo-Fluconazole-150 3.9424 3.9424
02521229 Fluconazole-150 3.9424 3.9424
02255510 Riva-Fluconazole 3.9424 3.9424
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
235 1 year

For the treatment of vaginal candidiasis. Dose: 150mg orally once daily for 1 day.

Note: Repeats within a 25-day period will not be reimbursed.

 

EAP Criteria

NO

Product Monograph

View Monograph